Obezite ve gebelik

Obezite; vücut ağırlığının aşırı yağ sebebiyle ideal ağırlığın %20'sinden daha fazla olması; yani vücutta aşırı miktarda yağ birikmesi olarak tanımlanabilir. Dünyadaki obezite oranı genel olarak çok büyük bir tırmanışa geçmiştir. Son 20 yılda, modern batı ülkelerinde olduğu gibi Türkiye'de de, sosyoekonomik durum ve yiyecek alışkanlıklarının değişmesi ile birlikte obezite oranlarında artış olduğu düşünülmektedir. Obezitenin artması kaygı vericidir ama çok daha fazla kaygı veren tarafı doğurganlık çağındaki kadınlarda obezite ya da fazla kilolu olma oranının giderek artmasıdır. Gebe kadın obez ise gebelik sırasında meydana gelen fizyolojik değişikliklerin çoğu farklı olabilir. Obez kadınlar gebeliklerinde; gebelik hipertansiyonu, doğum indüksiyonu, sezeryan ile doğum, sezeryan sonrası normal doğumda başarısızlıklar gibi çok sayıda komplikasyonlar ile karşılaşılabilirler. Hemşireler obez gebelere bakım verecek bilgiye sahip olmalı ve gebeleri sağlıklarını geliştirecek davranışlara sevk etmelidirler.

Obesity and pregnancy

Obesity; a state of being 20% over one’s normal weight due to excessive fat; that is, it is defined as the accumulation of too much fat in the body. The rate of obesity in the world has elevated. In the last two decades, ıt is considered that there have been increases in the rates of the obesity with changes in the socio-economic state and nutritional habits in Turkey as well as in modern western countries. The increase of the obesity is a matter of concern but the aspect which is much more matter of concern is in the increase of obesity in women at the reproductive age or gradually increasing rate of being overweight. If the pregnant woman is obese, most of the physiological changes occurring during pregnancy may be various. During their childbearing years, obese women are at an increased risk for pregnancy-induced hypertension, gestational diabetes, labour induction, caesareans births, and failed vaginal birth following to caesarean. Nurses should have the knowledge to adapt the care they provide according to this knowledge and encourage the pregnant women to acquire behaviours which will improve their health.

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